单纯小梁切除术治疗青光眼的临床效果

Clinical effect of simple trabeculectomy in the treatment of glaucoma

目的:评估单纯小梁切除术治疗青光眼的效果。方法:2018年7月-2019年7月收治青光眼患者70例,随机分为两组,各35例。试验组给予复合式小梁切除术治疗;对照组采用单纯小梁切除术治疗。比较两组患者术后并发症发生率以及术前,术后1个月、3个月、6个月的眼压、视力。结果:试验组术后并发症发生率低于对照组,差异有统计学意义(P<0.05);两组术后眼压水平均低于术前,且试验组术后各时间点的眼压水平均低于对照组,差异均有统计学意义(P<0.05);两组术后视力水平均高于术前,且试验组术后各时间点的视力水平均高于对照组,差异有统计学意义(P<0.05),差异均有统计学意义(P<0.05)。结论:在青光眼的治疗中,单纯小梁切除术可起到一定的效果,能够降低眼压、提高视力,但并发症较多;与其相比,复合式小梁切除术疗效及安全性更好。

Objective:To evaluate the effect of simple trabeculectomy in the treatment of glaucoma.Methods:From July 2018 to July 2019,70 patients with glaucoma were selected,they were randomly divided into the two groups with 35 cases in each group.The experimental group was treated with compound trabeculectomy.The control group was treated with simple trabeculectomy.The incidence of postoperative complications,intraocular pressure and visual acuity before operation,1 month,3 months,and 6 months after operation were compared between the two groups.Results:The incidence of postoperative complications in the experimental group was lower than that in the control group,the difference was statistically significant(P<0.05).The postoperative intraocular pressure of the two groups was lower than that before the operation,and the intraocular pressure levels of the experimental group were lower than those of the control group at each time point after surgery,the differences were statistically significant(P<0.05).The postoperative visual acuity levels of the two groups were higher than those before the operation,and the visual acuity of the experimental group at each time point after operation was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:In the treatment of glaucoma,simple trabeculectomy have a certain effect,which can reduce intraocular pressure and improve vision,but there are more complications.Compared with it,compound trabeculectomy has better efficacy and safety.